Mr Jesse Gordon, LADC, LCSW is a medicare enrolled "Social Worker - Clinical" provider in New Haven, Connecticut. He graduated from healthcare school in 2020 and has 6 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Cornell Scott Hill Health Corporation and his current practice location is
149 Minor St, New Haven, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(203) 503-3350.
Mr Jesse Gordon is licensed to practice in Connecticut (license number 15599) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1609443175.
Healthcare Provider's Profile
| Full Name | Mr Jesse Gordon |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 6 Years |
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| Location | 149 Minor St, New Haven, Connecticut |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Jesse Gordon graduated from medical school in 2020
NPI Data:
- NPI Number: 1609443175
- Provider Enumeration Date: 06/04/2021
- Last Update Date: 08/02/2025
Medicare PECOS Information:
- PECOS PAC ID: 7517465388
- Enrollment ID: I20250811002739
Medical Identifiers
Medical identifiers for Mr Jesse Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1609443175 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 001402 (Connecticut) | Secondary |
| 1041C0700X | Social Worker - Clinical | 15599 (Connecticut) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Cornell Scott Hill Health Corporation | 3072418359 | 238 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jesse Gordon is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Jesse Gordon, LADC, LCSW
190 Wooster St Apt 19,
New Haven, CT 06511-5763
Ph: (917) 750-3843 | Mr Jesse Gordon, LADC, LCSW
149 Minor St,
New Haven, CT 06519-1623
Ph: (203) 503-3350 |
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